Individual
DEBORAH LYNN MERTLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4550 KRUSE WAY, SUITE 225, LAKE OSWEGO, OR 97035-3594
(971) 252-1545
Mailing address
8900 SW SWEEK DR, #731, TUALATIN, OR 97062-7411
(503) 970-8925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3405
OR
Other
Enumeration date
04/03/2007
Last updated
05/20/2011
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